How much rates vary
Facilitymedian $1,023 · 10th to 90th $145 to $1,820Professionalmedian $234 · 10th to 90th $132 to $316
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $3,981.07 | Facility | None | $251.19 | $251.19 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $147.91 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $50.12 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $158.49 | $194.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $436.52 Median $1,258.93 Typical High $1,819.70 | Facility | None | $436.52 | $1,258.93 | $1,819.70 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $234.42 | $275.42 | $338.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $64.57 | $79.43 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $208.93 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $177.83 | $223.87 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $52.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $169.82 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | None | $575.44 | $575.44 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $1,071.52 | Facility | None | $208.93 | $251.19 | $1,071.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $151.36 | $245.47 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $37.15 | $50.12 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $158.49 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $33.11 | $33.11 | $100.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $269.15 | Facility | None | $48.98 | $48.98 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $47.86 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $47.86 | $239.88 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,819.70 | Facility | None | $933.25 | $1,348.96 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $229.09 | $234.42 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $52.48 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $177.83 | $177.83 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $1,023.29 | Facility | None | $141.25 | $144.54 | $1,023.29 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $141.25 | $208.93 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $158.49 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $53.70 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $158.49 | $223.87 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $33.11 | $41.69 | $48.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $213.80 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $169.82 | $213.80 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $104.71 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $41.69 | $48.98 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 13th of 51
$240
AK $380UT $129
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.